Clinical Updates
Updated: Clinical & Pracsoft version 4.3 upgrade and performance improvement tips
From 5 December 2024, Services Australia will no longer support AIR uploads from Clinical V4.2 or earlier.
Over 60% of MedicalDirector Clincial customers are now using version 4.3
We understand that some practices may have encountered challenges when upgrading to Clinical and Pracsoft version 4.3. To help, we’ve compiled a list of suggested actions for your organisation’s System Administrator or IT provider to work through.
If you haven’t upgrade to 4.3 yet, time is running out to remain compliant for AIR uploads from 5 December 2024. Here are some of the other features you’ll benefit from when you upgrade to Clinical & Pracsoft 4.3:
- Emails can now be sent with PDF attachments, can be password protected and can be sent directly from the patients file
- Revamped Smartbar (formally Sidebar) with the latest Smart Connect Care tools
- Add Progress Notes from anywhere in the patient workflow, via a new floating panel
- Record a patient’s gender identity and preferred pronouns
- A growing range of intelligent tools and marketplace partners appearing within the Smartbar
Clinical and Pracsoft version 4.3 IT performance check list
These configurations are important for running software upgrades reliably and may also help improve overall performance, which can be affected by frequent scanning or blocking of MedicalDirector software activity by your IT environment’s rules and configuration.
This broad overview is applicable to a variety of software and hardware scenarios, however should not be considered an all-encompassing solution for your specific healthcare setting. These resources attempt to cover the range of different firewall and antivirus applications available, each with their own method of handling exceptions for permitted files, folders and communications activity.
The procedures outlined for handling exceptions align with industry standards, where software vendors are expected to advise which Ports and URLs need to be accessible, and the site’s Systems Administrator is responsible for interpreting the requirements and applying them appropriately within the context of the environment they are responsible for.
We strongly recommend seeking assistance with configuring your specific firewall and antivirus software by consulting your organisation’s Systems Administrator or IT provider.
Antivirus and firewall
- Required Antivirus exclusions
- Required Firewall rules
- IP and Host Name Resolution requirements for MedicalDirector Communication Services
- Setting folder permissions
- SQL naming conventions and installation locations
Expanded list of trusted sites
49 https://www.ntscript.nt.gov.au/ 172.64.147.32
50 https://www.scriptcheck.sa.gov.au/ 104.18.41.25
51 https://www.qscripts.com/ 85.92.70.32
52 https://www.safescript.health.nsw.gov.au/ 103.1.195.88
53 https://www.safescript.vic.gov.au/ 172.64.152.164
54 https://hp.scriptcheck.health.wa.gov.au/ 104.18.33.38
55 https://www.tasscript.health.tas.gov.au/ 172.64.144.157
56 https://www.canberrascript.act.gov.au/ 172.64.145.228
57 https://api.prescriptionmonitoring.gov.au/ 104.18.43.101
Other useful resources
- Antivirus Exceptions for MedicalDirector Software
- Environmental Configurations for MedicalDirector Software
- Firewall Rules for MedicalDirector Software
- 4.3 System Requirements
- MedicalDirector Help Knowledge Base
November 2024 Clinical Drug MDref Update
1 November, 2024
The November 2024 MDref drug database and content update for MedicalDirector Clinical is now available and current from 1 November 2024. The update is a fully rebuilt MDref drug database, CMI (Consumer Medicines Information), PI (Product Information) and updated MedicalDirector Clinical content.
We strongly recommend that you update your MDref database every month. Monthly PBS changes, including new items, Streamlined Authority changes and PBS pricing details, are included in the monthly MDref update. Without this data, you are at risk of creating invalid PBS scripts.
Download November 2024 Drug Update (0.99 GB)
This update also includes the following:
- Updated Pathology List
- Capital Pathology
- Sullivan Nicolaides Pathology
- Melbourne Pathology
- Clinipath Pathology
- Several Template Updates including;
- Greenslopes Cardiologist Cardiology Referral (New)
- Q Cardiology Referral (New)
- West Moreton Specialist Outpatient Referral Form (New)
- Pharmacogenomics (PGx) – Sonic Genetics (New)
- Heartscope Cardiology Referral (Updated)
- Scope Healthcare Sleep Referral (Updated)
- Southside Endoscopy Gastroenterology referral (Updated)
- Neurosensory Audiology Referral VIC (Updated)
Prerequisites:
- This MDref update can only be applied to MedicalDirector Clinical 3.12.1 (or above).
- The update is quite a large file, ensure you allocate sufficient time for this update.
MyMedicare update for Clinical and Pracsoft
Department of Health and Aged Care (DoHAC) and Services Australia have been engaging with the sector, including the Medical Software Vendors Industry Association (MSIA), to agree the design specifications for integration of the MyMedicare initiative with patient management software.
While we wait for the specifications, we’ve developed the following interim solutions:
A New MyMedicare Registration Template: We have implemented a template to minimise the impact on patient registration. When you want to register patients for MyMedicare, we have created a form that will auto-populate to help streamline your workflow. These templates can now be accessed in Letterwriter by simply searching for ‘MyMedicare’ under the ‘Supplied’ tab.
A New MyMedicare Registration (check box): In the upcoming MedicalDirector Pracsoft 4.3 release, there will be a check box to identify your patients who are registered with MyMedicare.
Note: This will require a manual updating of the field using information from Services Australia.
Smart Visual Dashboards: There will soon be new metrics added to our Smart Visual Dashboards in an update which will help support your practice in identifying patients who are eligible for MyMedicare, along with those who will get the most value from joining the program. Get your practice started with Smart Visual Dashboards.
Other Useful Links:
- About MyMedicare
- Information for MyMedicare patients
- Information for MyMedicare practices and providers
- MyMedicare Webinars
- MyMedicare Resources
Telstra Health is consistently engaging with representatives from the Department, Services Australia, and our industry association to emphasise the urgency of progressing this work as quickly as possible.
Enabling ePrescribing in Clinical
Step 1: Initial Setup
The Practice
Each practice must have an HPI-O (Healthcare Provider Identifier – Organisation) number, which must be entered in the associated field on the Practice tab in Clinical under the Tools menu.
The practice also requires that eRx Script Exchange is setup on the practice network.
Practitioner
Each registered practitioner must have an HPI-I (Healthcare Provider Identifier – Individual) number, which must be entered in the associated field within the Practitioner’s details.
Step 2: Software upgrade
MedicalDirector Insights 1.9.0 Update
MedicalDirector Insights 1.9.0 is now available for your practice to meet the latest Department of Health requirements for PIP-QI, nKPI and OSR reporting for the June 2024 reporting period.
What do I need to do?
- Download and run the .exe file, then follow the instructions as prompted for installation.
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Once the new MedicalDirector Insights 1.9.0 version has been installed, you will need to generate a new Ad-hoc collection before you run your nKPI reports.
- Navigate to Reporting, and then click nKPI’s. Please review the output of the report and record any unexpected results.
- Submit your nKPI report to the Health Data portal.
- Log into the health data portal
- Locate your new nKPI submission and review the results.